| NPI | 1760463988 |
|---|---|
| Former Name | ANGELA ENRIQUE IMPERIAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY WY2103A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 0798) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-07-08 |